Lieb, Larry D

Lieb, Larry D is an sole proprietor health care provider with primary practice located at 1301 W Main St , Lake City IA 51449-1585. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Lieb, Larry D can be contacted via phone (712) 464-3171.

Contact Information

Primary practice address
1301 W Main St Lake City IA 51449-1585
Phone: (712) 464-3171
Fax: (712) 464-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X D-059739 Iowa

Profile Details

NPI number 1972560779
LBN Legal business name Lieb, Larry D
Credentials CRNA ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972560779 NPPES
Iowa Other 5200063 CSA
Iowa Other D-059739 CSA

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